Evidence map›Paper›PMID 35142896›Full record

ArticleIntensive care medicine2022

Sepsis hospitalization and risk of subsequent cardiovascular events in adults: a population-based matched cohort study.

Federico Angriman, Laura C Rosella, Patrick R Lawler, Dennis T Ko, Hannah Wunsch, Damon C Scales

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07357116 (Alteration of the Risk of CArdiovascular DIseases After Pneumonia), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
8.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07357116 completednot on this map

Alteration of the Risk of CArdiovascular DIseases After Pneumonia: a Nationwide Observational Study Using the French Healthcare Claim Database

TypeobservationalSponsorNantes University HospitalRan2015 to 2024Enrolled2,000,000ConditionsPneumonia, Cardiovascular Disease (CKD)
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Healthcare costs after sepsis: a systematic review.Critical care (London, England) · 2025
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Federico AngrimanDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. f.angriman@mail.utoronto.ca.ORCID http://orcid.org/0000-0003-0971-386X
Laura C RosellaEpidemiology Division, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Patrick R LawlerInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada.
Dennis T KoICES, Toronto, Canada.
Hannah WunschDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Damon C ScalesDepartment of Critical Care Medicine, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Sunnybrook Health Science Centre · CAUniversity Health Network · CAUniversity of Toronto · CA

Funding

CIHR 169865
6 · The paper itself

Abstract

purposeTo determine whether surviving a first sepsis hospitalization is associated with long-term cardiovascular events.

methodsPopulation-based matched cohort study conducted in Ontario, Canada (2008-2017). Adult survivors (older than 18 years) of a first sepsis hospitalization were matched to adult survivors of a non-sepsis hospitalization using hard-matching and propensity score methods. Patients with pre-existing cardiovascular disease were excluded. The primary composite outcome was myocardial infarction, stroke, or cardiovascular death up to 5 years of follow-up. Secondary outcomes included venous thromboembolism and all-cause death. Cox proportional hazards models with robust standard errors were used to estimate the association of sepsis with all outcomes of interest; hazard ratios (HR) and 95% confidence intervals (CI) were calculated. Sensitivity analyses included Fine and Gray models to account for the competing risk of all-cause death and probabilistic bias analyses.

results254,241 adult sepsis survivors were matched to adult survivors of non-sepsis hospitalization episodes. Sepsis survivors experienced an increased hazard of major cardiovascular events compared to non-sepsis survivors (HR 1.30; 95% CI 1.27-1.32), which was more pronounced in younger patients (HR 1.66; 95% CI 1.36-2.02 for patients aged 40 or younger; HR 1.21; 95% CI 1.18-1.24 for patients older than 80 years). Sepsis survivors also faced an increased hazard of venous thromboembolism (HR 1.61; 95% CI 1.55-1.67) and all-cause death (HR 1.26; 95% CI 1.25-1.27). Sensitivity analyses yielded consistent results.

conclusionsAdult sepsis survivors experience an increased hazard of major cardiovascular events compared to survivors of a non-sepsis hospitalization.

Indexed as

Cardiovascular DiseasesSepsisStrokeAdultCohort StudiesHospitalizationHumansOntarioProportional Hazards ModelsRisk FactorsCardiovascular diseaseMyocardial infarctionSepsisSepsis survivorsStrokeVenous thromboembolic disease

Identifiers

PMID35142896
OpenAlexW4210991530

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.